6
Provider data management
Maintaining Accurate Demographics Within a
Provider Directory is a Required Capability for Health Plans
Provider directory information changes often, and is used by
members and sales reps frequently
Over 18 months, half of directory
entries have a change*
One of a health plan member’s most
common interactions with their plan is
searching its provider directory
Name
Address
Phone Number
Specialty
Accepting New Patients Indicator
Example Demographic Elements
*Enclarity. (2014). A business case for fixing provider data issues. Retrieved February 26, 2018, from lexisnexis.com